Báo cáo y học: " Jejuno-jejunal invagination caused by epithelioid sarcoma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: T Jejuno-jejunal invagination caused by epithelioid sarcoma: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Jejuno-jejunal invagination caused by epithelioid sarcoma a case report Ana Bento Hamilton Baptista Carlos Pinheiro and Fernando Martinho Address Department of Surgery Surgery II University Hospital of Coimbra Praceta Mota Pinto 3000 Coimbra Portugal Email Ana Bento - Hamilton Baptista - hamiltonbap@ Carlos Pinheiro - cpinus@ Fernando Martinho - fjadm@ Corresponding author Published 30 October 2009 Received 26 July 2008 Journal of Medical Case Reports 2009 3 89 doi 1752-1947-3-89 Accepted 30 October 2009 This article is available from http content 3 1 89 2009 Bento et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Jejuno-jejunal invagination is a rare condition and is usually caused by a benign lesion. We describe the case of a patient with a jejunal epithelioid sarcoma. Epithelioid sarcoma is a rare histologic subtype of sarcoma and few cases have been published. Case presentation A 70-year-old Caucasian man presented with vomiting and anemia. A jejuno-jejunal invagination was diagnosed and the patient underwent surgery. An epithelioid sarcoma of the wall of the jejunum was found on the invaginated ansa. Conclusion To the best of our knowledge an epithelioid sarcoma has never been reported to arise at the wall of the proximal jejunum or to present with jejuno-jejunal invagination. Introduction Adult jejuno-jejunal invagination is unusual 1 and it presents as a high bowel occlusion and or obstruction requiring urgent surgical treatment. Usually the cause is a benign lesion of the jejunal wall. Neoplastic disease seldom occurs in the small bowel .

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